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NPI Code Detail

MEDICARE: DR. LOWELL WILLIAM BRAGG D.C.

MEDICARE: DR. LOWELL WILLIAM BRAGG D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2172AL

General Provider Information

NPI Number : 1487759056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOWELL WILLIAM BRAGG D.C.
Provider Business Mailing Address
First Line : 4541 MAGNOLIA DRIVE
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242
Country : US
Telephone Number : 205-821-2849
Fax Number : 205-933-5172
Provider Business Practice Location Address
First Line : 1318 20TH STREET SOUTH
Second Line : SUITE 100
City : BIRMINGHAM
State : AL
Zip : 35205
Country : US
Telephone Number : 205-933-5604
Fax Number : 205-933-5172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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